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Can Social Media Change Health Behavior?

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Presentation at 10th Anniversary Convention of the Ateneo School of Medicine & Public Health, 24 Nov 2017. Novotel Araneta.

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Can Social Media Change Health Behavior?

  1. 1. www.fb.com/endocrinewitch
  2. 2. www.dokbru.endocrine-witch.net
  3. 3. CAN SOCIAL MEDIA CHANGE HEALTH BEHAVIOR? IRIS THIELE ISIP TAN MD, MSC Professor, UP College of Medicine Chief, UP Medical Informatics Unit Director, UP Manila Interactive Learning Center @endocrine_witch
  4. 4. I have nothing to disclose
  5. 5. POTENTIAL EVIDENCE STRATEGY FUTURE
  6. 6. Patients are increasingly using online social networks to connect with other patients and healthcare professionals PEER-TO-PEER HEALTHCARE Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  7. 7. CAN SOCIAL MEDIA CHANGE HEALTH BEHAVIOR? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  8. 8. People can participate as part of their usual social media routine Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  9. 9. Social media facilitates self-help behavior Logan A. Community hypertension programs in the age of mobile technology & social media. Am J Hypertension 2014;27(8): 1033-1035
  10. 10. Berkman L, Glass T. (2000) Social integration, social networks, social support and health SOCIAL INFLUENCE How the presence, actions or expectations of others influence the way one behaves
  11. 11. SOCIAL ENGAGEMENT & ATTACHMENT Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  12. 12. How social network structure affects access to resources SOCIAL RECOMMENDATIONS Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  13. 13. SOCIAL CONTAGION How health behaviours may be ‘transmitted’ by ‘person-to-person spread’ across social networks Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  14. 14. SOCIAL SUPPORT Emotional, functional and informational assistance influences health Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  15. 15. POTENTIAL EVIDENCE STRATEGY FUTURE
  16. 16. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926. RCTs of social media interventions promoting healthy diet and exercise behaviors Interventions using social media, alone or as part of a complex intervention
  17. 17. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926.
  18. 18. Williams G,Hamm MP, Shulhan J, et al. BMJ Open 2014;4:e003926.
  19. 19. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926. Dietary fat consumption decreased significantly among participants exposed to social media
  20. 20. Williams G,Hamm MP, Shulhan J, et al. BMJ Open 2014;4:e003926. Voluntary recruitment may have resulted in increased participant motivation and selection bias Losses to follow-up were very high [challenges of adherence and keeping participants engaged] LIMITATIONS Participants mostly female, Caucasian of higher socioeconomic status
  21. 21. Evaluate the use and effectiveness of interventions using social networking sites (SNSs) to change health behaviors Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256. doi:10.1136/amiajnl-2014-002841 Meta-analysis 8 RCTs
  22. 22. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256 FACEBOOK HEALTH-SPECIFIC TWITTER social network sites 12 studies (n=7411) 8 RCTs
  23. 23. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256 Slight positive effect of SNS interventions on health behavior-related outcomes Considerable heterogeneity
  24. 24. Low-cost opportunity to virally spread health information PUBLIC HEALTH IMPACT Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256 SNSs may be used in a synergistic way with personal health records and mobile devices
  25. 25. POTENTIAL EVIDENCE STRATEGY FUTURE
  26. 26. The new challenge for hypertension programs is maintaining community interest while reiterating the same health messages. “ Logan A. Community hypertension programs in the age of mobile technology & social media. Am J Hypertension 2014;27(8): 1033-1035
  27. 27. HOW TO PACKAGE MESSAGES ON SOCIAL MEDIA Logan A. Community hypertension programs in the age of mobile technology & social media. Am J Hypertension 2014;27(8): 1033-1035
  28. 28. DEFINE PARAMETERS Modality Purpose Community type Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  29. 29. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 Behavior counseling Supplemental information Maximize attendance & retention Place to connect PURPOSE
  30. 30. PLATFORM SELECTION Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  31. 31. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 TARGET POPULATION Platform users Non-users User of any platform
  32. 32. RECRUITMENT Social media Local Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  33. 33. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 CONTENT CONVERSION/DEVELOPMENT
  34. 34. CONTENT LIBRARY Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 Web page conversion Posts Curated online content
  35. 35. ENGAGEMENT PLAN Group chats Micro- counseling Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  36. 36. TRAINING Interventionist Participant Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 How to maximize experience
  37. 37. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 REPORTING How many likes? How many replies? How many posts did participants make?
  38. 38. POTENTIAL EVIDENCE STRATEGY FUTURE
  39. 39. What is the optimal size for an online network for a behavioral intervention? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  40. 40. What is the ideal structure of a group intervention? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  41. 41. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 WHAT IS MEANINGFUL ENGAGEMENT?
  42. 42. FOR WHOM? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  43. 43. IRIS THIELE ISIP TAN MD, MSC Professor, UP College of Medicine Chief, UP Medical Informatics Unit Director, UP Manila Interactive Learning Center @endocrine_witch

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